NPI | 1457854440 |
---|---|
Former Name | DORYE MICHELLE EMORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 008194) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CT 008194) |
106H00000X Marriage & Family Therapist (Licence: CT 008194) | |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |